Paraplegia as a rare complication of tracheal resection anastomosis

Authors

  • Khairul Bariah Noh Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, School of Health Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu
  • Irfan Mohamad Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, School of Health Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu
  • Thevagi Maruthamuthu Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, School of Health Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu
  • Sanjeevan Nadarajah Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, School of Health Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu
  • Nik Fariza Husna Nik Hassan Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Audiology and Speech Pathology Programme, School of Health Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20181877

Keywords:

Paraplegia, Tracheal stenosis, Resection, Anastomosis

Abstract

Tracheal resection is the definitive surgical treatment whereby resection of stenotic segment with end-to-end anastomosis is performed. The procedure is indicated in a case of grade IV tracheal stenosis. Known complications include granulation tissue formation, restenosis of the trachea, anastomotic separation, tracheoesophageal fistula (TEF) and tracheoinnominate fistula (TIF), wound infection, laryngeal edema and laryngeal dysfunction. We present an 18- year-old gentleman whom previously ambulating, developed acute paraplegia following this surgery. In this report we discuss the possible causes that may lead to paraplegia in our case.

References

Auchincloss HG, Wright CD. Complications after tracheal resection and reconstruction: prevention and treatment. Journal of thoracic disease. 2016;8(Suppl 2):S160.

Grillo HC, Donahue DM. Postintubation tracheal stenosis. Chest surgery clinics of North America. 1996;6(4):725-31.

Pitz CC, Duurkens VA, Goossens DJ, Knaepen PJ, Siegers P, Hoogenboom LJ. Tetraplegia after a tracheal resection procedure. Chest. 1994;106(4):1264-5.

Aydinyan KK, Day JD, Troiano GM, Digoy GP. Non-invasive methods to maintain cervical spine position after pediatric tracheal resections. Int J Pediatr Otorhinolaryngol. 2017;98:121-5.

Dominguez J, Rivas JJ, Lobato RD, Diaz V, Larri E. Irreversible tetraplegia after tracheal resection. The Annals of thoracic surgery. 1996;62(1):278-80.

Silver JR. Paraplegia as a result of tracheal resection in a 17-year-old male. Spinal cord. 2007;45(8):576-8.

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Published

2018-04-26

Issue

Vol. 4 No. 3 (2018): May-June 2018

Section

Case Reports